Advancements and Challenges in Computer-Assisted Navigation for Cervical Spine Surgery: A Comprehensive Review of Perioperative Integration, Complications, and Emerging Technologies.

Shahzad, H; Saade, A; Tse, S; Simister, S; Viola, A; Muthu, S; Singh, H; Ambrosio, L; Tavakoli, J; Vetter, SY; Louie, P; Cho, S; Yoon, ST; Jain, A; Le, H; AO Spine Knowledge Forum Degenerative,; AOSKFDegenerative@aofoundation.org,

Advancements and Challenges in Computer-Assisted Navigation for Cervical Spine Surgery: A Comprehensive Review of Perioperative Integration, Complications, and Emerging Technologies.

Shahzad, H Saade, A Tse, S Simister, S Viola, A Muthu, S Singh, H Ambrosio, L Tavakoli, J

Vetter, SY Louie, P Cho, S Yoon, ST Jain, A Le, H AO Spine Knowledge Forum Degenerative, AOSKFDegenerative@aofoundation.org,

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Publisher:: SAGE PUBLICATIONS LTD
Publication Type:: Journal Article
Citation:: Global Spine J, 2025, 15, (7), pp. 3405-3414
Issue Date:: 2025-09

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Field	Value	Language
dc.contributor.author	Shahzad, H
dc.contributor.author	Saade, A
dc.contributor.author	Tse, S
dc.contributor.author	Simister, S
dc.contributor.author	Viola, A
dc.contributor.author	Muthu, S
dc.contributor.author	Singh, H
dc.contributor.author	Ambrosio, L
dc.contributor.author	Tavakoli, J https://orcid.org/0000-0002-0696-6530
dc.contributor.author	Vetter, SY
dc.contributor.author	Louie, P
dc.contributor.author	Cho, S
dc.contributor.author	Yoon, ST
dc.contributor.author	Jain, A
dc.contributor.author	Le, H
dc.contributor.author	AO Spine Knowledge Forum Degenerative,
dc.contributor.author	AOSKFDegenerative@aofoundation.org,
dc.date.accessioned	2026-02-03T08:09:09Z
dc.date.available	2026-02-03T08:09:09Z
dc.date.issued	2025-09
dc.identifier.citation	Global Spine J, 2025, 15, (7), pp. 3405-3414
dc.identifier.issn	2192-5682
dc.identifier.issn	2192-5690
dc.identifier.uri	http://hdl.handle.net/10453/192747
dc.description.abstract	Study DesignA narrative review of the current literature on the application of Computer-Assisted Navigation (CAN) in cervical spine surgeries.ObjectiveTo analyze the perioperative integration, types of CAN systems, technical considerations, and clinical applications of CAN in cervical spine surgeries, as well as to assess the associated complications and potential strategies to minimize these risks.MethodsA comprehensive review of published studies between 2015 and 2024 was conducted to evaluate the usage, benefits, and challenges of CAN in cervical spine surgeries. The review covered perioperative integration, system types, complications, and emerging technologies, including augmented reality (AR) and robotics.ResultsThe use of CAN in cervical spine surgeries provides improved accuracy in screw placement and reduced neurovascular complications. However, the review identified several limitations, such as a steep learning curve, cost considerations, and potential inaccuracies related to cervical spine mobility.ConclusionsCAN offers significant benefits in cervical spine surgeries, including enhanced precision and reduced complications. Despite the current limitations, advancements in AR and robotics hold promise for improving the safety and effectiveness of CAN in cervical procedures. The future focus should be on overcoming the existing challenges to increase the adoption of CAN in cervical spine surgeries.
dc.format	Print-Electronic
dc.language	eng
dc.publisher	SAGE PUBLICATIONS LTD
dc.relation.ispartof	Global Spine J
dc.relation.isbasedon	10.1177/21925682251329340
dc.rights	info:eu-repo/semantics/openAccess
dc.subject.classification	3202 Clinical sciences
dc.title	Advancements and Challenges in Computer-Assisted Navigation for Cervical Spine Surgery: A Comprehensive Review of Perioperative Integration, Complications, and Emerging Technologies.
dc.type	Journal Article
utslib.citation.volume	15
utslib.location.activity	England
pubs.organisational-group	University of Technology Sydney
pubs.organisational-group	University of Technology Sydney/Faculty of Engineering and Information Technology
pubs.organisational-group	University of Technology Sydney/Faculty of Engineering and Information Technology/School of Biomedical Engineering
pubs.organisational-group	University of Technology Sydney/UTS Groups
pubs.organisational-group	University of Technology Sydney/UTS Groups/Centre for Health Technologies (CHT)
pubs.organisational-group	University of Technology Sydney/UTS Groups/Chancellor's Research Fellows
utslib.copyright.status	open_access	*
dc.rights.license	This work is licensed under a Creative Commons Attribution 4.0 International License (CC BY 4.0). To view a copy of this license, visit https://creativecommons.org/licenses/by/4.0/
dc.date.updated	2026-02-03T08:09:07Z
pubs.issue	7
pubs.publication-status	Published
pubs.volume	15
utslib.citation.issue	7

Abstract:

Study DesignA narrative review of the current literature on the application of Computer-Assisted Navigation (CAN) in cervical spine surgeries.ObjectiveTo analyze the perioperative integration, types of CAN systems, technical considerations, and clinical applications of CAN in cervical spine surgeries, as well as to assess the associated complications and potential strategies to minimize these risks.MethodsA comprehensive review of published studies between 2015 and 2024 was conducted to evaluate the usage, benefits, and challenges of CAN in cervical spine surgeries. The review covered perioperative integration, system types, complications, and emerging technologies, including augmented reality (AR) and robotics.ResultsThe use of CAN in cervical spine surgeries provides improved accuracy in screw placement and reduced neurovascular complications. However, the review identified several limitations, such as a steep learning curve, cost considerations, and potential inaccuracies related to cervical spine mobility.ConclusionsCAN offers significant benefits in cervical spine surgeries, including enhanced precision and reduced complications. Despite the current limitations, advancements in AR and robotics hold promise for improving the safety and effectiveness of CAN in cervical procedures. The future focus should be on overcoming the existing challenges to increase the adoption of CAN in cervical spine surgeries.

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http://hdl.handle.net/10453/192747